HomeMy WebLinkAbout2309 CARLSBAD VILLAGE DR; MP; CB110193; Permit01-26-2011
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Electrical Permit Permit No: CB110193
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
2309 CARLSBAD VILLAGE DR CBAD St: MP
ELEC
0000000000 Lot#: 0
REPLACE 100 AMP METER PED
Status: ISSUED
Applied: 01/26/2011
Entered By: KG
Plan Approved: 01/26/2011
Issued: 01/26/2011
Inspect Area:
Applicant:
BRUNO GARDINER CONSTR
PO BOX 687 CARLSBAD
CARLSBAD CA 92018
760-729-8786
Owner:
Electric Issue Fee
Single Phase per AMP
Three Phase per AMP
Three Phase 480 Per AMP
Remodel/Alteration per AMP
Remodel Fee
Temporary Service Fee ;
Test Meter Fee <
Other Electrical Fees
Additional Fees
100
0
0
0
$10,00
$25.00
$0.00
$O.QO
$0.(|0
$0.|0^ $ojo
$0.00
$0.00
$0.00
TOTAL PERMIT FEES $35.00
Total Fees:$35.00 Total Payments To Date:$35.00 Balance Due:$0.00
Inspector
FINAL APPROVAL
Date: 2 ' Z •Clearance:-N V
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92Q08
760-602-2717 / 2718/2719
Fax: 760-602-8558
www.carlsbadca.gov
JOB ADDRESS
,
# OF UNITS # BEDROOM!
SUITE#/SPACE#/UNIT#
CT/PROJECT## BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES D #NOD
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES Q NO O
CONTACT NAME (H Different Font Applicant)API
ADDRESS ADDRESS 68?
CITY STATE ZIP
PHONE
STATE ZIP
FAX
EMAIL tMAIL '
PROPERTY OWNER NAME
ADDRESS
CONTRACTOR BUS. NAME
ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS CfTY
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the
applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's' License Law (Chapter 9, commending with Section 7000 of Division 3 of theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars {$500}).
Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance-carrier and policy
number are: Insurance Co. Policy No. Expiration Date
Jhis/ection need not be completed if the permit is for one hundred dollars ($100) or less.
L3 Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, arftshall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages provided for inSgJrtion 3706 of thejrabdr code, interest and attorney's fees.
^CONTRACTOR SIGNATURE XX*yi{4i<04 (/^\Lv^S/<^ > CJAGENT DATE /- Z& ~J/
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions-Code: The-Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law).
O I am exempt under Section Business and Professions Code for this reason:
1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes a No
2.1 (have / have not) signed an application for a building permit for the proposed work.
3.1 have contracted witrrthe following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4.1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone /contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work):
PROPERTY OWNER SIGNATURE QAGENT DATE
TjSSntT^
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued <Sec. 3097 (i)-Civil Code).
Lender's Name tender's Address
information on
MAJftllNO I rtLL. LlrtDH-l I Ito, \I\JU\JIVH-I 11 «j ww i« ' «»»*• i-» « — *— _ I,.*.!** M hainht
vfifAPPLICANT'S SIGNATURE DATE
City of Carlsbad Bldg Inspection Request
For: 02/01/2011
Permit* CB110193
Title: REPLACE 100 AMP METER PED
Description:
Inspector Assignment:
2309 CARLSBAD VILLAGE DR
MP Lot: 0
Type: ELEC Sub Type:
Job Address:
Suite:
Location:
APPLICANT BRUNO GARDINER CONSTR
Owner:
Remarks: after 12 noon
Total Time:
Phone: 7604209936
Inspector:
Requested By: BRUNO GARDINER
Entered By: CHRISTINE
CD Description Act Comments
32 Const. Service/Agricultural
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act Insp Comments
>
*&
CARLSBAD
CITY OF
STORM WATER
COMPLIANCE
ASSESSMENT
B-24
Development Services
Building Division
1635 Faraday Avenue
760-602-2719
www.carisbadca.gov
am applying to the City of Carlsbad for the following type(s) of constructbn permit:
J2 Building Permit Q Right-of-Way Permit
Q My project is categorically EXEMPT from
the requirement to prepare a storm water
pollution prevention plan (SWPPP) because it
only requires issuance of one or more of the
following permit types:
-a*€lectrical
Fire Additional
Fire Alarm
Fixed Systems
Mechanical
Mobile Home
Plumbing
Patio/Deck
Re-Roofing
Sign
Spa-Factory
Sprinkler
Water Discharge
Project Storm Water Threat Assessment Criteria*
No Threat Assessment Criteria
Q My project qualifies as NO THREAT and is exempt from the requirement to prepare a storm water pollution prevention plan <SWPPP) because
it meets the "no threat" assessment criteria on the City's Project Threat Assessment Worksheet for Determination of Construction SWPPP Tier
Level. My project does not meet any of the High, Moderate or Low Threat criteria described below.
Tiert • Low Threat Assessment Criteria
Q My project does not meet any of the Significant or Moderate Threat criteria, is not an exempt permit type <See list above) and the project
meets one or more of the following criteria:
• Results in some soil disturbance; and/or
• Includes outdoor construction activities (such as saw cutting, equipment washing, material stockpiling, vehicle fueling, waste stockpiling).
Tier 2 • Moderate Threat Assessment Criteria
Q My project does not meet any of the Significant Threat assessment Criteria described below and meets one or more of the following criteria:
• Project requires a grading plan pursuant to the Carlsbad Grading Ordinance (Chapter 15.16 of the Carlsbad Municipal Code); or,
• Project will result in 2,500 square feet or more of soils disturbance including any associated construction staging, stockpiling, pavement
removal, equipment storage, refueling and maintenance areas and project meets one or more of the additional following criteria:
• Located within 200 feet of an environmentally sensitive area or the Pacific Ocean, and/or
• Disturbed area is located on a slope with a grade at or exceeding 5 horizontal to 1 vertical, and/or
• Disturbed area is located along or within 30 feet of a storm drain inlet, an open drainage channel or watercourse, and/or
• Construction will be initiated during the rainy season or will extend into the rainy season (Oct. 1 through April 30).
TierS - Significant Threat Assessment Criteria
Q My project includes clearing, grading or other disturbances to the ground resulting in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, stockpiling, pavement removal, refueling and maintenance areas: and/or
Q My project is part of a phased development plan that will cumulatively result in soil disturbance totaling one or more acres including any
associated construction staging, equipment storage, refueling and maintenance areas: or,
Q My project is located inside or within 200 feet of an environmentally sensitive area (see City tSA Proximity map) and has a significant
potential for contributing pollutants to nearby receiving waters by way of storm water runoff or non-storm water discharge®.
/ certify to the best of my knowledge that the above
checked statements are true and correct I understand
and acknowledge that even though this project does
not require preparation of a construction SWPP, I must
still adhere to, and at all times during construction
activities for the permit type(s) check above comply
with the storm water best management practices
pursuant to Title 15 of the Carlsbad Municipal Code
and to Citv Standards.
'The City Engineer may authorize minor variances from the Storm
Water Threat Assessment Criteria in special circumstances where it
can be shown that a lesser or higher Construction SWPPP Tier Level is
warranted.
B-24
Project Address:Assessor Parcel No.
Owner/Owner's Authorized Agent Name:
's Authorized Agen^Jnature:
City Concurrence:
7
Title:
Page 1 of 1 Rev.03/09
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